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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…

  2. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - Commentary The new patient safety officer: a lifeline for patients, a life jacket for CEOs. Citation Text: Denham CR. The New Patient Safety Officer. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318036bae9. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

  3. Studying organisational cultures and their effects on safety. | PSNet

    psnet.ahrq.gov/issue/studying-organisational-cultures-and-their-effects-safety
    April 20, 2014 - Commentary Studying organisational cultures and their effects on safety. Citation Text: Hopkins A. Studying organisational cultures and their effects on safety. Saf Sci. 2006;44(10). doi:10.1016/j.ssci.2006.05.005. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  4. Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. | PSNet

    psnet.ahrq.gov/issue/excusable-neglect-malpractice-suits-against-radiologists-proposed-jury-instruction-recognize
    April 11, 2011 - Commentary Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Citation Text: Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition. Caldwell C; …

  5. An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England | PSNet

    psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation-monitoring-and-regulation
    March 17, 2011 - Book/Report An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Citation Text: An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England Cousins D. Croydon, UK: Accidents again…

  6. Beyond patient safety Flatland. | PSNet

    psnet.ahrq.gov/issue/beyond-patient-safety-flatland
    September 04, 2024 - Commentary Beyond patient safety Flatland. Citation Text: Braithwaite J, Coiera E. Beyond patient safety Flatland. J R Soc Med. 2010;103(6):219-25. doi:10.1258/jrsm.2010.100032. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  7. The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. | PSNet

    psnet.ahrq.gov/issue/adoption-electronic-medical-record-technology-order-prevent-medical-errors-matter-american
    March 07, 2018 - Commentary The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. Citation Text: The adoption of electronic medical record technology in order to prevent medical errors: a matter for American public policy. Crane JN; …

  8. Medication errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors
    August 21, 2018 - Commentary Medication errors. Citation Text: Medication errors. Hartigan-Go K. Int J Risk Safety Med. 2006;18(3):181-186. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy UR…

  9. Adverse outpatient drug events—a problem and an opportunity. | PSNet

    psnet.ahrq.gov/issue/adverse-outpatient-drug-events-problem-and-opportunity
    April 12, 2011 - Commentary Adverse outpatient drug events—a problem and an opportunity. Citation Text: Tierney WM. Adverse outpatient drug events--a problem and an opportunity. N Engl J Med. 2003;348(16):1587-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  10. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  11. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. | PSNet

    psnet.ahrq.gov/issue/human-performance-breakdowns-are-rarely-accidents-they-are-usually-very-poor-choices
    September 12, 2016 - Commentary Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. Citation Text: Besco RO. Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results. J Hazard Mater. 2004;115(1-3)…

  12. FDA/ISMP Safe Medication Management Fellowship Program. | PSNet

    psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program
    January 26, 2023 - Press Release/Announcement FDA/ISMP Safe Medication Management Fellowship Program. Citation Text: FDA/ISMP Safe Medication Management Fellowship Program. Food and Drug Administration, Institute for Safe Medication Practices. Copy Citation Save Save to your library…

  13. Necessity of a good surgical history: detection of a gossypiboma. | PSNet

    psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
    September 07, 2016 - Commentary Necessity of a good surgical history: detection of a gossypiboma. Citation Text: Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021. Copy Citation Fo…

  14. A review of organizational culture instruments for nurse executives. | PSNet

    psnet.ahrq.gov/issue/review-organizational-culture-instruments-nurse-executives
    January 14, 2011 - Review A review of organizational culture instruments for nurse executives. Citation Text: King T, Byers JF. A review of organizational culture instruments for nurse executives. J Nurs Adm. 2007;37(1):21-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  15. Understanding Patient Safety, Third Edition. | PSNet

    psnet.ahrq.gov/issue/understanding-patient-safety-third-edition
    November 03, 2015 - Book/Report Classic Understanding Patient Safety, Third Edition. Citation Text: Understanding Patient Safety, Third Edition. Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. Copy Citation Save Save t…

  16. Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-corrective-action
    November 27, 2018 - Book/Report Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Citation Text: Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. Oakbroo…

  17. Department of Defense Health Care Quality. | PSNet

    psnet.ahrq.gov/issue/department-defense-health-care-quality
    February 11, 2025 - Book/Report Department of Defense Health Care Quality. Citation Text: Department of Defense Health Care Quality. Washington DC: Office of the Assistant Secretary of Defense; Tricare Management Activity: 2011. Copy Citation Save Save to your library Print…

  18. Learning Not Blaming. | PSNet

    psnet.ahrq.gov/issue/learning-not-blaming
    March 28, 2018 - Book/Report Learning Not Blaming. Citation Text: Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716. Copy Citation Save Save to your library Print Download PDF Share F…

  19. ISMP's List of Confused Drug Names. | PSNet

    psnet.ahrq.gov/issue/ismps-list-confused-drug-names
    August 21, 2015 - Fact Sheet/FAQs Classic ISMP's List of Confused Drug Names. Citation Text: ISMP's List of Confused Drug Names. Horsham, PA; Institute for Safe Medication Practices: July 2023. Copy Citation Save Save to your library Print Downlo…

  20. ISMP's List of High-Alert Medications in Acute Care Settings. | PSNet

    psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
    April 17, 2024 - Fact Sheet/FAQs ISMP's List of High-Alert Medications in Acute Care Settings. Citation Text: ISMP's List of High-Alert Medications in Acute Care Settings. Horsham, PA; Institute for Safe Medication Practices: 2024. Copy Citation Save Save to your library Pri…
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